Implications for practice

The evidence from the prospective cohort trials is considered to be too weak to be able to draw a definite conclusion about the preventive effect of whole grain foods on the development of type 2 diabetes.

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Implications for research

Properly designed long-term randomised controlled trials are needed to

establish whether whole grain foods are protective for the development of type 2 diabetes. To facilitate this, further mechanistic research should focus on finding a set of relevant intermediate endpoints for type 2 diabetes and on identifying genetic subgroups of the population at risk that are most susceptible to dietary intervention.

Acknowledgements

We thank prof. Mark Pereira and prof. June Stevens for providing additional data on their studies. We are grateful to prof. Ronald Stolk for advice on the final review.

This paper has been written with financial support from the Commission of the European Communities, specific rtd programme “Quality of Life and Management of Living Resources”, qlk 1-2001-00431 “Stable isotope applications to monitor starch digestion and fermentation for the development of functional foods” (www.eurostarch.org). It does not necessarily reflect its views and in no way anticipates the Commission’s future policy in this area.

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Appendix

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Starchy foods and

In document University of Groningen Whole grain foods and the prevention of type 2 diabetes mellitus Priebe-Geyersberger, G.abriele Marion (Page 70-77)